Selva Marina-1600 (13-3444)n
City of Atlantic Beach
❑Denied.
Building Department
v j
800 Seminole Road
BUILDING
Atlantic Bead, Florida 3223345
Phone (904) 247-5826 - Fax (9¢4) 247-5845
Reviewed
E-mail: building-dept@coab.us
City web -site: http:/Auww.coab.us
APPLICATION NUMBER
APPLICATION REVIEW AND TRACKING FORM
br
Property Address: Z& a (41 'J
Applicant:
Project: S-7" n
n
ent review required Yes No
' di
ani nin
ree Administrator
U%&O
ublid t le
Public Safety
Fire Services
Review fee $ Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other:
APPLICATION STATUS
Reviewing Department
First Review: [FlApproved.
❑Denied.
(Circle one.)
Comments:
BUILDING
PLANNING & ZONING
Reviewed
by:
y
TREE ADMIN.
Second Review:A roved as revised.
❑ pp
❑Denied.
PUBLIC WORKS
Comments:
PUBLIC UTILITIES
PUBLIC SAFETY
FIRE SERVICES
4evised 05/14/09
Reviewed by: Date:
Third Review: ❑Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:
/0/171
Date: 1 .1 5113
PUBLIC WORKS PLAN REVIEW COMMENTS
C .- ) i /iti h11 J0,
..�
Initials: PN� ML_
1 2 _ 2 UU, u
Project
Name / Address: / wu wPi 1
Y Ari l,-- Application vermrc ff: i __'j ----) / < /
Check Box
Check
Application Tracking Comments
to Add
Box to
Comment
"Print"
IMPS
Provide table of impervious surface calculations for entire lot (existing and post
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construction).
ESCP
Provide erosion and sediment control plans with installation details and maintenance
schedule.
DPLN
Provide drainage plans showing site topography (flow arrows, etc.)
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CSMP
Provide construction site management plan, including Right -of -Way Permit if using
right-of-way for construction parking.
TSUR
Provide a pre -construction topographic survey prepared by a Florida Licensed Professional
11
0
Land Surveyor, showing 1' contours.
LDCS
Section 24-66(b) of the Land Development Regulations requires on-site storage for
increased run-off if adding 400 SF or more impervious surface. Provide Delta volume
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calculations and on-site retention required per Section 24-66(b). (See attached information
sheet.)
PCTS
If on-site storage is required, a post construction topographic survey documenting proper
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construction will be required.
RWPM
A Right -of -Way Permit must be obtained for use
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REPM
A Revocable Encroachment Permit must be obtained.
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PLWP
Pool - Wellpoint (if used) must discharge into vegetated area 10' minimum from street or
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11drainage
feature (swale, structure or lagoon).
All concrete driveway apr( �U.< , :)m edge of
pavement to the property A70ve-A n the right -of-
DAPR
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way. (Commercial drivewa
Any utility cuts in the road � ���it/OA)�X and must be
URCT
#!q6<
overlaid 10 feet in each dir f"` r! rr a shown on the
plans.
Full right-of-way restoratioi
Roll off container company iot be placed on
��f/l.7Ja�' 'aste
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RWRS
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ROFF
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City right-of-way. (Approve
Management)
Full erosion control measur( ling any earth
ECIN
disturbing activities. Contac ent Control
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Inspection prior to start of a
Recommend Owner/Contrac ., L,11cuur io aiscuss proposed
MEET
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construction. Call 247-5834 to make an appointment.
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0
11
!.ani;- City of Atlantic Beach
Building Department
j 800 Seminole Road
s Atlantic Beach, Florida 32233.5445
Phone (904) 247-5826 Fax(904)247-5845
>` j E-mail: building-dept@coab.us SEP 2 3 I n 13 F
City web -site: http://www.coab.us
APPLICATION REVIEW AND TRA
Property Address: ZJ& 40 a MiM�I�Q,
Applicant: ;e?L C
Project: S n /
APPLICATION NUMBER
(To be assigned bythe Building Department.)
/3 • JYI�y
Date nested:
NC FORM
ent review required Yes No
di
annin & Zonin
ree Administrator
u is i 'e
Public Safety
Fire Services
Review fee Dept Signature
Other Agency Review or Permit Required Review or Receipt Date
of Permit Verified B
Florida Dept. of Environmental Protection
Florida Dept. of Transportation
St. Johns River Water Management District
Army Corps of Engineers
Division of Hotels and Restaurants
Division of Alcoholic Beverages and Tobacco
Other.
APPLICATION STATUS
Reviewing Department
(Circle one.)
BUILDING
PLANNING & ZONING
TREE ADMIN.
AP WORC TILITIES
f
PUBLIC SAFETY
FIRE SERVICES
Revised 05/14/09
First Review: Approved. ❑Denied.
Comments:
Reviewed by: ( Date: - w /J
Second Review: [Approved as revised. ❑Denied.
Comments:
Reviewed by: Date:,
Third Review: DApproved as revised. ❑Denied.
Comments:
Reviewed by: Date:
Date
9/26/13
CITY OF ATLANTIC BEACH
PUBLIC UTILITIES
1200 Sandpiper Lane
ATLANTIC BEACH, FL 32233
(904) 270-2535 or (904) 247-5874
NEW WATER/SEWER TAP REQUEST
Project Address: 1600 Selva Marina Dr.
No. of Units: 1 Commercial X Residential Multi -Family
New Water Tap(s) & Meter(s) Existing meter at 1660 Selva Marina Dr. Meter Size(s)_.75_
New Irrigation Meter Upgrade Existing Meter from to (size)
New Connection to City Sewer --Construction trailer -comes with tank that will be pumped out
Name: RPC General Contractor -Pete Rodreeues
Applicant Address: _248 Lev. Rd.
City: Atlantic Beach State: _FL Zip: 32233
Phone Number: 241-4416 Cell Number:
Email Address Fax:
Signature:
(Applicant)
Application#
13-3444
CITY STAFF USE ONLY
Water System Development Charge
$
Sewer System Development Charge
$
Water Meter Only
$
Water Meter Tap
$
Sewer Tap
$
Cross Connection
$
Other
$
TOTAL
$ 0
Construction trailer will be located on
1660 Selva Marina Dr. (property
purchased by golf course developer
next to country club). Will use
existing metered house service for
trailer. Trailer comes with tank for
sewer that will be pumped out.
No fees required.
Will turn on 1660 Selva Marina -water
only.
APPROVED: Donna Kaluzniak 9/26/13
(Utility Director or Authorized Signature)
ALL TAP REQUEST MUST BE APPROVED BY UTLITIES DEPARTMENT BEFORE FEES
CAN BE ASSESSED
PUBLIC UTILITIES PLAN REVIEW COMMENTS
Date: ( 14, 0 /_3
Initials: %
/ 3 :? Ifv `1
Project Name / Address: ,% ip i�� �t✓(� m PrA4,gj )N Application Permit #:
Check Box
Check
Application Tracking Comments
to Add
Box to
Comment
"Print"
UWSU
Avoid damage to underground water / sewer utilities. Verify vertical and horizontal
location of utilities. Hand dig if necessary. If field coordination is needed, call 247-5834.
13
13
M BSC
Ensure all meter boxes, sewer cleanouts and valve covers are set to grade and visible.
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RTIC
A sewer cleanout must be installed at the property line. Cleanout must be covered with
an RT1 concrete box with metal lid. Cleanout to be set to grade and visible.
[3
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RPZB
A reduced pressure zone backflow preventer must be installed if irrigation will be
provided or if there is a private well on the property. Backflow preventer must be tested
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by a certified tester and a copy of the results sent to Public Utilities.
STRM
Plans note the building will be unsprinkled. if plans change, any fire line installed must be
metered with a Sensus touch -read meter in a properly sized vault and an appropriate
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❑
backflow preventer installed. Backflow preventer must be tested by a certified tester and
a copy of the results sent to Public Utilities.
FSBR
If fire sprinkler system is provided, contact Malcolm Clemons at 247-5839 for backflow
requirements. At a minimum, will require a double check backflow preventer.
❑
E3
FLM
Fire lines must be metered with a Sensus touch -read meter. Meters larger than 2" must
installed in a vault as noted in JEA specifications.
13
E3be
O
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13
BUILDING PERMIT APPLICATION
CITY OF ATLANTIC BEACH
800 Seminole Road, Atlantic Beach, FL 32233
Office (904) 247-5826 Fax (904) 247-5845
�. �
� ..r
Job Address: l✓i .ql-� AA,1� 1- - Permit Number:
Legal Description A -ry,4G j4 kIS Parcel #
S r r
r
rioor Area or Sq.rt. aq.rt
Valuation of Work $ f�� Proposed Work heated/cooled non-heated/cooled
Class of Work (circle one): New Addition Alteration Repair Move Demolition pool/spa window/door
Use of existing/proposed structure(s)circle one): Commercial . Residential
If an existing structure, is a fire sprinkler system installed? (Circle one): Yes No N /A
Florida Product Approval #
For multiple products use product appr—oval form ,
Describe in detail the type of work to be performed:
Property Owner Information:647?fYel&
,•- _ . • -
Name: �" e t 6Address:
City 4,1, State fi-,Zip _
E -Mail or ax # (Optional) _
.p
�11.4 MM 14 dg 1J✓
Company Name: A A L' ��`� 1°� " C��"� t G Qualifying Agent: Ev,- 4,4 A 1C-,
Address: GtvCity -r" 11�d. �r_ �a State Zip. �_V3
Office Phone Job Site/ Contact Number Fax #
State Certification/Registration # II
Architect Name & Phone #
Engineer's Name & Phone #
Fee Simple Title Holder Name and Address
Bonding Company Name and Address
Mortgage Lender Name and Address
Application is hereby made to obtain a permit to do the work and installations as indicated. I certify that no work or installation has commenced prior to the
issuance of a permit and that all work will be performed to meet the standards of all laws regulating construction in this jurisdiction. This permit becomes null
and void if work is not commenced within six (6) months, or if construction or work is suspended or abandoned for a_ period of six (6) months at any time after
work is commenced. 1 understand that separate permits must be secured for Electrical Work, Plumbing, Signs, Wells, Pools, Furnaces, Boilers, Heaters,
Tanks and Air Conditioners, etc.
WARNING TO OWNER: YOUR FAILURE TO RECORD A NOTICE OF
COMMENCEMENT MAY RESULT IN YOUR PAYING TWICE FOR IMPROVEMENTS
TO YOUR PROPERTY. IF YOU INTEND TO OBTAIN FINANCING, CONSULT WITH
YOUR LENDER OR AN ATTORNEY BEFORE RECORDING YOUR NOTICE OF
COMMENCEMENT -
1 hereby certify that I have read and examined this application and w the scurte to u true ana correct. rHu pruvts rrs ws unu urutrtu.o governing this
type.). work will be consplied wit whether specified herein not. The granting of a permit does not presum to gave zrthority to violate or cancel the
provsions of any other federa��), or to regulat' construction or the performance of construction.
..
Signature of Owner
Print Name
�--L-�' Teff aty 14, 2014
ru NoOry Public Underwiters
Signature of Contractor
PrintName'.... .................................................
Detail by Entity Name
Detail by Entity Name
SELVA MARINA COUNTRY CLUB, INC
Document Number
191800
FEI/EIN Number
596077224
Date Filed
03/22/1956
State
FL
Status
ACTIVE
Last Event
AMENDMENT
Event Date Filed
11/17/2011
Event Effective Date
NONE
Principal Address
1600 SELVA MARINA DRIVE
ATLANTIC BEACH, FL 32233
Mailing Address
1600 SELVA MARINA DRIVE
ATLANTIC BEACH, FL 32233
Registered Agent Name & Address
Carroll, Mark
1600 SELVA MARINA DRIVE
ATLANTIC BEACH, FL 32233
Name Changed: 06/06/2013
Address Changed: 06/06/2013
Officer/Director Detail
Name & Address
Rodrigues, Pete
1600 SELVA MARINA DRIVE
ATLANTIC BEACH, FL 32233
CARLIN, MICHAEL
Page 1 of 3
http://search.sunbiz.org/Inquiry/CorporationSearch/SearchResultDetail/EntityName/domp-... 9/24/2013
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